Organization Active NPI

Salih Dental Kedzie Inc.

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1619458767
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SALIH DENTAL KEDZIE INC.
Practice address
6235 S Kedzie Ave Unit 2
Chicago, IL 60629-3304
Phone
(773) 853-0593
Fax
(773) 913-0508
NPI assigned
Aug 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eva Bloda, DDS
Title
Dr.
Phone
(773) 853-0593

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

6235 S Kedzie Ave Unit 2
Chicago, IL 60629-3304

Mailing address

6235 S Kedzie Ave Unit 2
Chicago, IL 60629-3304
Phone (773) 853-0593

National Provider Directory

National Provider Directory

Locations

6235 S Kedzie Ave
#2
Chicago, IL 60629
Phone (773) 853-0593

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535328000000",
    "number": "1619458767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6235 S KEDZIE AVE UNIT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606293304",
            "telephone_number": "773-853-0593",
            "fax_number": "773-913-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6235 S KEDZIE AVE UNIT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606293304",
            "telephone_number": "773-853-0593",
            "fax_number": "773-913-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALIH DENTAL KEDZIE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A",
        "authorized_official_last_name": "BLODA",
        "authorized_official_first_name": "EVA",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "773-853-0593",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.